Transvaginal sonographic features of peritoneal carcinomatosis

Savelli, L.; Iaco, Pierandrea De; Ceccaroni, Marcello; Ghi, T.; Ceccarini, M.; Seracchioli, Renato; Cacciatore, Bruno

doi:10.1002/uog.2587

Cited by 29 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The potential role of transvaginal sonography to detect peritoneal carcinomatosis in the pelvis was shown by Savelli et al ., who described its nodular and sheet‐like appearance in 53 patients. Testa et al ,.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound in preoperative assessment of pelvic and abdominal spread in patients with ovarian cancer: a prospective study

Fischerová

Zikán

Semeradova

et al. 2017

Ultrasound Obstet Gynecol

View full text Add to dashboard Cite

This is the largest imaging study to date on ovarian cancer staging. Ultrasound can be used as the method of choice to plan rectosigmoid wall resection and dissection of infiltrated inguinal lymph nodes. In assessing different peritoneal and retroperitoneal compartments, ultrasound was accurate and highly specific. However, similar to other modern imaging techniques, it had relatively low sensitivity, further supporting the role of comprehensive surgical staging. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound in preoperative assessment of pelvic and abdominal spread in patients with ovarian cancer: a prospective study

Fischerová

Zikán

Semeradova

et al. 2017

Ultrasound Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Among all cancer diagnosed, 25% of cases (3/12) were PPCs, which raises the issue of the reliability of TVU for this kind of tumor, particularly in BRCA -mutated patients, even if Savelli et al [25] underline the good sensitivity of power Doppler sonography in diagnosing hypoechoic nodules attached to the peritoneum (88%) and the presence of blood vessels (91%). In our series, patients who received RRSO and further developed PPC had an interval time between surgery and cancer onset of 4.5 years, in line with data in the literature.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Transvaginal Ultrasound plus CA-125 Measurement and Prophylactic Salpingo-Oophorectomy in Women at Different Risk Levels of Ovarian Cancer: The Modena Study Group Cohort Study

Cortesi

Matteis²,

Toss³

et al. 2017

Oncology

View full text Add to dashboard Cite

Objective: To evaluate the effectiveness of transvaginal ultrasound (TVU) and serum CA-125 measurement in women at different risk of developing ovarian cancer/fallopian tube cancer (OC/FTC) and the incidence of primary peritoneal cancer (PPC) after risk-reducing salpingo-oophorectomy (RRSO). Methods: Between 2002 and 2014, 661 women at different risk of OC/FTC/PPC due to a family history or BRCA1/2 gene mutation were offered TVU and CA-125 measurement or RRSO as prevention strategies. The detection rate of OC/FTC/PPC was evaluated, and the sensitivity and specificity for CA-125 measurement and TVU were calculated. Survival and event analysis was performed for diagnosed patients. Results: After a median follow-up of 112 months, 12 OC/FTC/PPC cases were detected (2.6/1,000 persons/year). The screening sensitivity was 70%, with 73% for BRCA carriers. Six (50%) of 12 cancers were stage I or II. Among 41 women who underwent RRSO, 2 BRCA1 carriers developed a PPC (4.9%). At 61-month follow-up, overall and event-free survival were 75 and 64%, respectively. Conclusions: The cancer detection rate in women with BRCA mutation or a strong family history supports the effectiveness of our surveillance program for early diagnosis. Screening for women at lower risk of OC/FTC is not recommended. A residual risk of PPC after RRSO remains for BRCA1 carriers.

show abstract

“…With respect to pelvic carcinomatosis, if high‐frequency transvaginal probes are used even small discrete metastatic implants on the pelvic peritoneum can be detected (Figure 14)33. These usually manifest as hypoechogenic lesions with newly formed vessels that, in the course of successful cytostatic treatment, decrease in size and become avascular.…”

Section: Primary Gynecological Tumors (Tnm Staging)mentioning

confidence: 99%

Ultrasound scanning of the pelvis and abdomen for staging of gynecological tumors: a review

Fischerová

2011

Ultrasound in Obstet & Gyne

123

View full text Add to dashboard Cite

show abstract

Transvaginal sonographic features of peritoneal carcinomatosis

Abstract: Objectives Peritoneal carcinomatosis involves the dissemination of intra-abdominal tumor tissue often asso

Cited by 29 publications

References 24 publications

Ultrasound in preoperative assessment of pelvic and abdominal spread in patients with ovarian cancer: a prospective study

Ultrasound in preoperative assessment of pelvic and abdominal spread in patients with ovarian cancer: a prospective study

Evaluation of Transvaginal Ultrasound plus CA-125 Measurement and Prophylactic Salpingo-Oophorectomy in Women at Different Risk Levels of Ovarian Cancer: The Modena Study Group Cohort Study

Ultrasound scanning of the pelvis and abdomen for staging of gynecological tumors: a review

Contact Info

Product

Resources

About